| Fyzical Therapy And Balance Center - San Angelo Llc | |
|
3415 Johnson Ave San Angelo TX 76904-5554 | |
| (325) 515-5117 | |
| Not Available |
| Full Name | Fyzical Therapy And Balance Center - San Angelo Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3415 Johnson Ave, San Angelo, Texas |
| Authorized Official Name and Position | Gary Haun (OWNER) |
| Authorized Official Contact | 3259498351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fyzical Therapy And Balance Center - San Angelo Llc 3415 Johnson Ave San Angelo TX 76904-5554 Ph: (325) 515-5117 | Fyzical Therapy And Balance Center - San Angelo Llc 3415 Johnson Ave San Angelo TX 76904-5554 Ph: (325) 515-5117 |
| NPI Number | 1538701685 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 5890127229 |
|---|---|
| Medicare Enrollment ID | O20191122001753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538701685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Timothy L Bickford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134348741 PECOS PAC ID: 1951352400 Enrollment ID: I20050202000519 |
| Provider Name | Sterling Eckert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689298408 PECOS PAC ID: 9739505090 Enrollment ID: I20200817003187 |
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